摘要
目的探讨宫颈高度鳞状上皮内病变(HSIL)冷刀锥切术中不同缝合方法的疗效。方法选取2016年10月至2019年10月新乡市第一人民医院收治的接受宫颈HSIL冷刀锥切术治疗患者96例,随机分成三组,每组32例。将使用连续褥式锁边环形缝合方式的患者作为连续褥式锁边环形缝合组;将使用W缝合方式的患者作为W缝合组;将使用改良Sturmdorf缝合方式的患者作为改良Sturmdorf缝合组。对比三组患者的手术结果、治疗效果及术后宫颈管粘连、宫颈狭窄以及感染等并发症发生情况。结果"W"型缝合组的手术时间、手术出血量、住院时间均多于连续锁边环形缝合组、改良Sturmdorf缝合组(P<0.05),且连续褥式锁边环形缝合组的手术出血量、住院时间均少于改良Sturmdorf缝合组(P<0.05)。连续褥式锁边环形缝合组的并发症发生率低于"W"型缝合组、改良Sturmdorf缝合组(P<0.05),且改良Sturmdorf缝合组的并发症发生率低于"W"型缝合组(P<0.05)。连续褥式锁边环形缝合组的治疗效果高于"W"型缝合组、改良Sturmdorf缝合组(P<0.05),且改良Sturmdorf缝合组的治疗效果高于"W"型缝合组(P<0.05)。结论在宫颈HSIL冷刀锥切术中所使用的连续褥式锁边环形缝合组缝合方法优于W缝合、改良Sturmdorf缝合方法,其可以减少并发症发生率以及治疗时间以及手术出血量,促进机体的康复,保障其治疗安全性,具有理想效果,值得推广。
Objective To investigate the curative effects of different suturing methods on cervical high-grade squamous intraepithelial lesion(HSIL)cold knife coning.Methods A total of 96 patients treated with cervical HSIL cold knife conical incision in Xinxiang First People’s Hospital from October 2016 to October 2019 were selected and randomly divided into three groups,with 32 patients in each group.The patients using continuous hemlock ring suture were selected as the continuous hemlock ring suture group.The patients using W suture were treated as W suture group.The patients using the modified Sturmdorf suture will be treated as the modified Sturmdorf suture group.The operation results,treatment effects and postoperative complications such as cervical adhesion,cervical stenosis and infection were compared among the three groups.Results The operation time,blood loss and hospital stay of the"W"type suture group were all higher than those of the continuous hemlock ring suture group and the improved Sturmdorf suture group(P<0.05),and the surgical loss and hospital stay of the continuous hemlock ring suture group were lower than those of the improved Sturmdorf suture group(P<0.05).The complication rate of continuous hemlock ring suture group was lower than that of"W"type suture group and improved Sturmdorf suture group(P<0.05),and the complication rate of improved Sturmdorf suture group was lower than that of"W"type suture group(P<0.05).The treatment effect of continuous hemlock ring suture group was higher than that of"W"suture group and improved Sturmdorf suture group(P<0.05),and the treatment effect of improved Sturmdorf suture group was higher than that of"W"suture group(P<0.05).Conclusions The continuous hemlock ring suture method used in HSIL cold knife coning is superior to W suture and modified Sturmdorf suture method,which can reduce the complication rate,treatment time and surgical bleeding amount as much as possible,promote the recovery of the body,ensure the safety of treatment,and has ideal effect,which is wort
作者
李梅芳
刘风花
Li Meifang;Liu Fenghua(Department of Gynaecology,Xinxiang First People’s Hospital,Xinxiang 453000,China;Department of Gynecological Tumor,Henan Tumor Hospital,Zhengzhou 450003,China)
出处
《临床医学》
CAS
2021年第5期11-14,共4页
Clinical Medicine
关键词
宫颈HSIL冷刀锥切术
不同缝合方法
手术时间
手术出血量
并发症
治疗效果
Cervical high-grade squamous intraepithelial lesion cold knife coning
Different suture methods
Operation time
Operative blood loss
Complications
Treatment effect
